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Complementary and Alternative Medicine Use in Uninsured Children in Texas
Sanghamitra M Misra1,2, Danielle Guffey1, Isabel Roth3
11 Baylor College of Medicine, Houston, TX, USA.
Insights
Complementary and alternative medicine (CAM) use is high in uninsured children and their parents. Most children using CAM have parents who also use CAM, yet few families discuss this with doctors.
Area of Science:
- Pediatric Health
- Complementary and Alternative Medicine
- Public Health
Background:
- National data indicates 12% of US children use complementary and alternative medicine (CAM).
- Uninsured pediatric populations may exhibit higher CAM utilization due to limited healthcare access.
- Previous research suggests specific demographics may have increased CAM use.
Purpose of the Study:
- To investigate the prevalence of CAM use in an uninsured pediatric population.
- To explore the relationship between parental and child CAM usage patterns.
- To assess the frequency of CAM discussions between families and healthcare providers.
Main Methods:
- A survey was conducted among 250 uninsured patients at a free pediatric mobile clinic.
- Data collected included CAM usage by children and parents in the preceding 12 months.
- Statistical analysis examined correlations between child and parent CAM use and physician discussions.
Main Results:
- CAM use was reported by 45% of children and 59% of parents in the surveyed population.
- A significant association was found: 91% of children using CAM had parents who also used CAM.
- Physician discussions regarding CAM were infrequent, with only 3% of parents and 2% of children ever discussing it.
Conclusions:
- CAM utilization is substantial within this uninsured, largely Hispanic pediatric cohort.
- Parental CAM use strongly correlates with child CAM use in this population.
- Healthcare providers should proactively inquire about CAM use due to low disclosure rates and significant utilization.
Abstract:
Use of complementary and alternative medicine (CAM) among US children is 12% according to the 2012 National Health Interview Study. Certain pediatric populations have higher CAM use. We studied an uninsured population because limited access to care likely results in higher CAM use. We surveyed 250 uninsured patients in a free pediatric mobile clinic program. In the largely Hispanic population, rate of CAM use in the preceding 12 months was 45% among children and 59% among parents. Ninety-one percent of children who used CAM had parents who used CAM while only 32% of parents used CAM for themselves but did not use CAM for their children ( P < .001). Seven parents (3%) and 4 children (2%) had ever discussed their CAM use with a physician. Since CAM use is significant in this uninsured population and families do not generally discuss CAM with physicians, health care providers must ask about CAM use and provide guidance.
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